NLR、SII对基层医院社区获得性肺炎患者的诊断评估价值

中华养生保健 ›› 2023, Vol. 41 ›› Issue (8): 1-4.

• 论著 • 下一篇

NLR、SII对基层医院社区获得性肺炎患者的诊断评估价值

宋卫珍¹, 赵泽伟², 谢刚², 刘玉凤¹, 包蕾¹, 白志余¹, 胡晓蕴¹, 张剑锋^1,*

1.苏州大学附属苏州九院呼吸与危重症医学科,江苏苏州,215200;
2.泗阳县第一人民医院呼吸内科,江苏宿迁,223700

出版日期:2023-04-16 发布日期:2023-04-11
通讯作者: ^*张剑锋,E-mail：szsdjymyyzjf@126.com。
作者简介:宋卫珍（1985—）,女,汉族,籍贯：江苏省苏州市,硕士研究生,副主任医师,研究方向：慢性气道炎症性疾病。
基金资助:
苏州大学附属第九人民医院2021年院级青年科研基金（YK202116）

Value of NLR and SII in the Diagnosis and Evaluation of Community-Acquired Pneumonia in Primary Hospitals

SONG Wei-zhen¹, ZHAO Ze-wei², XIE Gang², LIU Yu-feng¹, BAO Lei¹, BAI Zhi-yu¹, HU Xiao-yun¹, ZHANG Jian-feng^1,*

1. Department of Respiratory and Critical Care Medicine, The Nine Affiliated Hospital of Soochow University, Suzhou Jiangsu, 215200, China;
2. Department of Respiratory Medicine, Siyang First People's Hospital, Suqiang Jiangsu, 223700, China

Online:2023-04-16 Published:2023-04-11

摘要/Abstract

摘要： 目的探讨中性粒细胞-淋巴细胞比值（NLR）和系统免疫炎症指数（SII）对基层医院社区获得性肺炎（CAP）患者的诊断价值。方法选取2022年1月—2022年9月泗阳县第一人民医院收治的70例CAP患者作为CAP组,同期体检中心的70名健康人作为对照组,回顾性分析入组人群血常规。根据ROC曲线分析各指标对CAP的诊断效能。结果 CAP组外周血白细胞数、中性粒细胞数、淋巴细胞数水平均高于对照组（P<0.05）,而两组红细胞数、血红蛋白浓度、血小板数比较,差异无统计学意义（P>0.05）。CAP组外周血NLR、SII水平较对照组明显升高,差异有统计学意义（P<0.05）。ROC曲线显示：NLR的曲线下面积为0.76（P<0.05）,SII的曲线下面积为0.73（P<0.05）。结论 NLR、SII在CAP患者中明显升高,可成为CAP患者临床诊断的一项重要辅助指标。

关键词: 社区获得性肺炎, 中性粒细胞与淋巴细胞比值, 系统免疫炎症指数

Abstract: Objective To explore the value of Neutrophil-lymphocyte ratio (NLR) and Systemic immune-inflammatory index (SII) in the diagnosis of community-acquired pneumonia (CAP) patients in primary hospitals. Methods From January 2022 to September 2022, 70 CAP patients admitted to the First People's Hospital of Siyang County were selected as the CAP group. 70 healthy participants were recruited to the control group. The blood routine examination was analysed in all cases.Conduct ROC curve analysis on the diagnostic effectiveness of each index on CAP. Results Levels of white blood cells, neutrophils and lymphocytes in the experimental group were higher than those in the contronl group (P<0.05). Levels of red blood cells, hemoglobin and platelets were no statistical differences between the two groups (P>0.05). The levels of NLR and SII were higher in the experimental group than those in the contronl group, and the differences between the two groups were statistically significant (P<0.05). The results of the ROC curve showed that the area under the NLR curve was 0.76 (P<0.05), and the area under the SII curve was 0.73 (P<0.05). Conclusion Our study indicated that the levels of NLR and SII in community- acquired pneumonia patients were significantly higher than that in healty participants, they may be important auxiliary indexes for clinical diagnosis of CAP patients.

Key words: community-acquired pneumonia, neutrophil to lymphocyte ratio, system immune-inflammation index

中图分类号:

R563.1

宋卫珍, 赵泽伟, 谢刚, 刘玉凤, 包蕾, 白志余, 胡晓蕴, 张剑锋. NLR、SII对基层医院社区获得性肺炎患者的诊断评估价值[J]. 中华养生保健, 2023, 41(8): 1-4.

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NLR、SII对基层医院社区获得性肺炎患者的诊断评估价值

Value of NLR and SII in the Diagnosis and Evaluation of Community-Acquired Pneumonia in Primary Hospitals

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